Dr. R Scott Oliver: I have many patients come in the door and they have hip pain. My job is to figure out where the hip pain is coming from and what we can do for you. Lots of times the pain will be coming from the spine. This pain will go through the buttocks area and all the way down to the toes. It’ll be a burning, tingling, numb, or electric shock pain; that’s called sciatica. That’s a pinched nerve that’s going from the spine all the way down to the leg.
The next area of discomfort that a patient may have is the joint between the tailbone and the ilium or the pelvis bone. This is called the sacroiliac joint. That can also cause quite a bit of discomfort, particularly in the older woman who has had several children. That whole area has to open up during the pregnancy and that joint can be inflamed later on in life. On the side of the hip, patients will have a bursitis pain, and that can radiate a pain that goes all the way down to the knee.
So these different areas right here are not actually hip arthritis pain, they’re pain around the hip. Those pains that we’ve just talked about are referred to Dr. Teran, our Pain Interventionist.
The pain of hip arthritis is actually in the groin, right where the ball and socket moves, and this is what we see on the X-ray. We see an arthritic hip, which is treated initially with medications and physical therapy, and later on with surgery.